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前言对于消化道出血,必须进行迅速处理。消化道出血多数是以胃溃疡、十二指肠溃疡为代表的消化道病变引起的急性大量出血。特别是近年来,对上消化道出血病例积极地利用内窥镜,以确定出血部位并止血。对于出血病例是否施行手术,可参照长尾等提出的出血程度判断标准。据此,对于轻症病例,没有紧急止血的必要,一般不需急症处理。另外,把引起休克症状的作为大量出血病例,把通过快速输血400～1000ml 而使循环状态稳定的作为中度出血;把快速输
Preface For gastrointestinal bleeding, prompt treatment is required. Gastrointestinal bleeding is mostly gastrointestinal ulcers, duodenal ulcer represented by acute diarrhea caused by acute massive bleeding. In recent years, in particular, the use of endoscopes for cases of upper gastrointestinal bleeding has been actively used to determine the bleeding site and to stop the bleeding. Bleeding cases for the implementation of surgery, may refer to the long tail and other criteria to determine the degree of bleeding. Accordingly, for mild cases, there is no need for emergency stop bleeding, generally do not need emergency treatment. In addition, as a large number of cases of hemorrhagic shock caused by symptoms, through the rapid blood transfusion 400 ~ 1000ml and stable circulation as a moderate bleeding; the rapid lose